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See a sample rate comparisonCPT 83615 Fee Schedule
Medicare rates as of January 2026
CPT 83615 is classified under Pathology and Laboratory Procedures, in the Chemistry Procedures subgroup.
Test For Tissue Damage, This Test Measures The Enzyme Lactic Dehydrogenase (Ldh) To Check For And Assess Tissue Damage Particularly After A Stroke Or Heart Attack.
| Key Fact | Detail |
|---|---|
| Service Type | Pathology and Laboratory Procedures Chemistry Procedures |
| Common Place of Service | 81 - Independent Laboratory 11 - Office |
| Common Modifiers | 26 - Professional component PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $6.04 national lab fee schedule rate (2026) · View Medicare rates for 83615 |
| Medicaid Fee Schedule | $5.965 median of the 8 states in the free preview · View Medicaid rates for 83615 |
National average reimbursement for CPT 83615 by major payers:
$4.51
BCBS / Anthem
$4.27
UnitedHealthcare
$7.62
Aetna
$8.68
Cigna
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CPT 83615
5 of 25 sample ratesHigher to lower in this preview
Sarah Lee
City Of Hope Medical Foundation
$20.44Published rateShamel Sanani
City Of Hope Medical Foundation
$20.44Published rateShailaja Raj
Wake Forest University Health Sciences
$8.22Published rateFrederick Wittlin
South Broward Hospital District
$2.10Published rateStephen Walsh
Dana-Farber Cancer Institute
$2.09Published rate
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See a sample payer proposalCPT 83615 vs. Other Chemistry Procedures Codes
The table lists codes related to 83615. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 83605-CPT | Low | Test For Lactic Acid Buildup, This Test Takes A Blood Or Spinal Fluid Sample. Too Much Lactic Acid Can Starve Tissues Of Oxygen. Lactic Acid Can Build Up In Muscles When They Are Exercised. |
| 83615-CPT | Low | Test For Tissue Damage, This Test Measures The Enzyme Lactic Dehydrogenase (Ldh) To Check For And Assess Tissue Damage Particularly After A Stroke Or Heart Attack. |
| 83625-CPT | Low | Test For Tissue Damage, This Test Measures The Enzyme Lactic Dehydrogenase (Ldh) To Check For And Assess Tissue Damage Particularly After A Stroke Or Heart Attack. |
| 83690-CPT | Low | Lipase Enzyme Blood Test, This Test Measures The Amount Of Lipase Present In A Blood Sample. Lipase Is A Digestive Enzyme Made By The Pancreas. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 83615. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 83615 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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